SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $390.27 – $2,187.00 | 4 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $256.80 – $2,187.00 | 4 |
| Infuse radioactive materials CPT 77750 | not published | not published | $129.32 – $463.58 | 8 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $80.57 – $80.57 | 1 |
| Ingest challenge ini 120 min CPT 95076 | $116.42 | $211.68 | $87.82 – $448.51 | 6 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $309.10 | $562.00 | $15.50 – $263.20 | 6 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,688.87 – $2,893.43 | 6 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,442.67 – $2,471.64 | 6 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $38.13 – $46.69 | 6 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,128.90 – $1,934.09 | 6 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $51.65 – $160.02 | 6 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $433.53 – $433.53 | 1 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $156.43 – $156.43 | 1 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $199.49 – $199.49 | 1 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $109.68 – $109.68 | 1 |
| Initiation & management bipap/cpap initial day CPT 94660 | $846.45 | $1,539.00 | $45.65 – $263.20 | 6 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $75.48 – $75.48 | 1 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $154.73 – $154.73 | 1 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $45.91 – $122.10 | 6 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.92 – $11.18 | 8 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $7.07 – $13.50 | 8 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.08 – $0.10 | 7 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.09 – $0.11 | 2 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.10 – $0.13 | 2 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.09 – $0.11 | 2 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $4,050.78 – $7,669.72 | 7 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $91.73 – $91.73 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $10.54 – $27.91 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $63,044.98 – $117,499.93 | 8 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.98 – $12.86 | 3 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.57 – $66.01 | 8 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $787.19 – $1,594.12 | 7 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $292.71 – $577.61 | 8 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.52 – $2.92 | 8 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.99 – $8.76 | 8 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $119.11 – $241.59 | 8 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $58.23 – $87.94 | 8 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.08 – $11.48 | 7 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $128.54 – $157.40 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.76 – $33.54 | 8 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,601.18 – $6,556.68 | 7 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.86 – $4.00 | 2 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.13 – $6.02 | 8 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $50.79 – $62.19 | 7 |
| Inj. asceniv HCPCS J1554 | not published | not published | $494.97 – $921.45 | 8 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $54.14 – $102.90 | 8 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $31.90 – $58.59 | 7 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $101.14 – $195.01 | 8 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $77.86 – $105.71 | 8 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $41.73 – $41.73 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $162.25 – $305.31 | 8 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $89.48 – $89.48 | 1 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $0.02 – $3,516,312.41 | 7 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.03 – $73.88 | 8 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $209.48 – $396.68 | 8 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.31 – $0.37 | 2 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $24.25 – $48.51 | 7 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.39 – $4.91 | 7 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.83 – $16.50 | 7 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $2.72 – $3.33 | 2 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $160.18 – $160.18 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $421.96 – $780.28 | 8 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,687.86 – $3,121.12 | 8 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $338.89 – $642.03 | 8 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $614.68 – $614.68 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.42 – $2.73 | 7 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.50 – $1.03 | 2 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $114.63 – $265.07 | 8 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | not published | $2.13 – $2.13 | 1 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.05 – $526.75 | 2 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $2.41 – $2.86 | 2 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.00 – $1.96 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.11 – $2.15 | 3 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $11.21 – $12.62 | 2 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $9.20 – $10.90 | 2 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.28 – $4.49 | 8 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $8.15 – $16.82 | 8 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $120.91 – $148.05 | 7 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $15.73 – $30.64 | 8 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $80.88 – $168.74 | 8 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.38 – $122.05 | 8 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $2.80 – $7.59 | 2 |
| Inj, clindamycin (baxter) HCPCS J0737 | not published | not published | $3.70 – $4.10 | 2 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $106.70 | $194.00 | $473.56 – $2,187.00 | 4 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $89.16 – $188.25 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $1,027.17 – $2,244.90 | 3 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $535.90 – $606.66 | 7 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.75 – $26.40 | 7 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $16.61 – $31.24 | 8 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $4.30 – $9.30 | 7 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $8.74 – $16.89 | 7 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.48 – $1.17 | 8 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.49 – $2.19 | 8 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.37 – $7.30 | 8 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.11 – $0.13 | 2 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.11 – $0.13 | 2 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.04 – $0.09 | 3 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.01 – $5.84 | 8 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $1.44 – $1.68 | 2 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.02 – $3,980,276.55 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.